DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) – Physical Therapist, NPI 1720057110

DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) is a healthcare provider. based in Norfolk, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, SCS, ATC. They hold a License No. 2305004592 (VA). The NPI Number for DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) is 1720057110

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC)
NPI
1720057110
Phone
(757) 683-4228
Address
1015 W 47TH ST
Enumeration Date
16 March 2006
Last Update Date
25 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7576837041
Graduation Year
1993 (33 years ago)
PAC ID
0244495075
Group Practice PAC ID
3476770520
Professional Enrollment ID
I20120629000257
Address ID
VA235290047NO1019XWXXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

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Provider Addresses for DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC)

  • 1015, West 47th Street, Norfolk, Virginia, 23508, United States

    NORFOLK, VA 235290001

    Phone: (757) 683-4228

    Fax: (757) 683-7050

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120629000257IPhysical Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18328$0
97140Therapy procedure using manual technique, each 15 minutes10119$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7521$0
97530Therapy procedure using functional activities4914$0
97116Therapy procedure for walking training, each 15 minutes2811$0
View full utilization report →

Insurance plans in this area (ZIP 23529)

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Provider's Procedures

DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes42654

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476770520View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
-MD
Occupational Therapist In Private PracticeMD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
-VA
-VA
Qualified Speech Language PathologistVA

Reviews

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Frequently asked questions

Does DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) uses 1720057110.
Can I rely on DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) being an active provider?
As of the registry snapshot, DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) is marked active.
What healthcare role does DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) hold?
Scheduling teams often label DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC)?
DR. LISA RENEE KOPERNA (PT, DPT, SCS, ATC)'s geographic hint is Norfolk, Virginia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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